Clinic
Big Sandy Health Care INC
Big Sandy Health Care INC was paid $114K by Medicaid between Sep 2021 and Nov 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 58% of everything it billed.
33Billing provider infoBIG SANDY HEALTH CARE INC
FREEBURN, KY 41528
FREEBURN, KY 41528
33aNPI1972173136assigned 06/30/2021
33bProvider typeClinic/Center
28Total paid$114K
24GClaims8,472
24DCodes billed22
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Kentucky
Rank by total paid#28 of 42
Median peer was paid$224K
This provider vs. median0.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 431 | $5K | |
| 2022 | 2,110 | $37K | |
| 2023 | 3,063 | $36K | |
| 2024incomplete | 2,868 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 58% | 2,376 | 1,888 | $66K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 12% | 1,076 | 814 | $13K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7.5% | 196 | 194 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.8% | 211 | 125 | $7K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.8% | 239 | 146 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 4.8% | 906 | 874 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | 2.2% | 325 | 322 | $3K |
| 36415 | Collection of venous blood by venipuncture | 1.8% | 1,105 | 1,037 | $2K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.8% | 116 | 51 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 48 | 27 | $810.96 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 330 | 294 | $763.71 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | 12 | $177.70 |
10 more codes
| 81003 | <1% | 272 | $154.21 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 236 | $138.54 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 65 | $91.99 |
| 3044F | <1% | 122 | $0.61 | |
| 3078F | <1% | 58 | $0.27 | |
| 3074F | <1% | 67 | $0.27 | |
| 1036F | <1% | 16 | $0.01 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 183 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 13 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 499 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHERALD, JAMES (CEO)
| Provider | Location | Paid |
|---|---|---|
| Big Sandy Health Care INC | Auxier, KY | $4.57M |
| Big Sandy Health Care, INC | Inez, KY | $2.30M |
| Big Sandy Health Care INC | Salyersville, KY | $1.99M |
| Big Sandy Health Care INC | Grethel, KY | $1.74M |
| Big Sandy Health Care INC | Pikeville, KY | $1.73M |
| Big Sandy Health Care INC | Salyersville, KY | $1.01M |
| Big Sandy Health Care INC | Pikeville, KY | $530K |
| Big Sandy Health Care INC | Harold, KY | $416K |
| The Pathology Group PC | Memphis, TN | $380K |
| Big Sandy Health Care INC | Paintsville, KY | $48K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.